Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,677.35 / $10,000.00	Facility		$794.33	$4,677.35	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,445.44	Professional		$512.86	$660.69	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,479.11	Professional		$407.38	$524.81	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $16,595.87	Facility		$741.31	$741.31	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $891.25 / $50,118.72	Facility		$34.67	$891.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $2,818.38	Professional		$446.68	$1,000.00	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,905.46	Facility		$588.84	$794.33	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,023.29	Professional		$537.03	$741.31	$1,023.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $977.24	Professional		$398.11	$602.56	$977.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $6,760.83	Facility		$1,698.24	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,584.89	Professional		$501.19	$707.95	$1,584.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,380.38	Facility		$426.58	$660.69	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,584.89	Professional		$398.11	$660.69	$1,584.89